Provider Demographics
NPI:1619312923
Name:ROSE'S TEMP
Entity Type:Organization
Organization Name:ROSE'S TEMP
Other - Org Name:ROSE'S AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PESKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-937-3020
Mailing Address - Street 1:6105 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4801
Mailing Address - Country:US
Mailing Address - Phone:323-937-3020
Mailing Address - Fax:323-937-7167
Practice Address - Street 1:6105 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4801
Practice Address - Country:US
Practice Address - Phone:323-937-3020
Practice Address - Fax:323-937-7167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care